Commercial reimbursement policy update to Modifier 66: Surgical Teams - Professional
Modifier 66: Surgical Teams — Professional - Under this reimbursement policy, Anthem Blue Cross and Blue Shield (Anthem) allows the use of procedures eligible for surgical teams when billed with modifier 66.
Anthem follows the Centers for Medicaid and Medicare Services (CMS) Medicare physician fee schedule (MPFS) team surgery payment indicators and will allow services requiring team surgery billed with CMS MPFS payment indicator 1 (sometimes) and 2 (always) and will deny services billed with the indicator 0 (never) and 9 (not applicable).
For specific policy details, visit the CO — reimbursement policy page, at www.anthem.com provider website.
September 2022 Anthem Provider News and Updates - Colorado